| NPI | 1326101239 |
|---|---|
| Former Name | REBECCA A VANWIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077758-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0520681) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-10-20 |